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Montana rates for HCPCS A9527

Iodine I-125, sodium iodide solution, therapeutic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.59 / $180.00 / $575.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.41 / $334.41 / $349.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $183.96 / $334.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.72 / $153.04 / $349.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.96 / $291.18 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $215.05 / $215.05